Disrupting PIAS3-mediated SUMOylation of MLK3 ameliorates poststroke neuronal damage and deficits in cognitive and sensorimotor behaviors

Activated small ubiquitin-like modifiers (SUMOs) have been implicated in neuropathological processes following ischemic stroke. However, the target proteins of SUMOylation and their contribution to neuronal injury remain to be elucidated. MLK3 (mixed-lineage kinase 3), a member of the mitogen-activated protein kinase kinase kinase (MAPKKK) family, is a critical regulator of neuronal lesions following cerebral ischemia. Here, we found that SUMOylation of MLK3 increases in both global and focal ischemic rodent models and primary neuronal models of oxygen and glucose deprivation (OGD). SUMO1 conjugation at the Lys401 site of MLK3 promoted its activation, stimulated its downstream p38/c-Jun N-terminal kinase (JNK) cascades, and led to cell apoptosis. The interaction of MLK3 with PIAS3, a SUMO ligase, was elevated following ischemia and reperfusion. The PINIT domain of PIAS3 was involved in direct interactions with MLK3. Overexpression of the PINIT domain of PIAS3 disrupted the MLK3-PIAS3 interaction, inhibited SUMOylation of MLK3, suppressed downstream signaling, and reduced cell apoptosis and neurite damage. In rodent ischemic models, the overexpression of the PINIT domain reduced brain lesions and alleviated deficits in learning, memory, and sensorimotor functions. Our findings demonstrate that brain ischemia-induced MLK3 SUMOylation by PIAS3 is a potential target against poststroke neuronal lesions and behavioral impairments. Supplementary Information The online version contains supplementary material available at 10.1007/s00018-024-05166-7.


Introduction
Ischemic stroke causes neuronal damage and leads to high rates of disability and mortality [1].The main clinical treatments are thrombolysis and thrombectomy to restore blood supply [2,3].However, blood reperfusion treatments does not directly intervene in the neuronal damage caused by stroke.Due to the limitations, thrombolysis and thrombectomy are applied to only a minor proportion of stroke patients.Therefore, exploring the molecular mechanisms underlying stroke-induced neuronal injury is essential to identify potential intervention targets.
SUMOylation is an enzymatic cascade analogous to the ubiquitin pathway, in which the SUMO protein is successively conjugated to target proteins by SUMO-activating enzymes, SUMO-specific conjugating enzymes, and substrate-selective SUMO ligases [14,23,24].The SUMO ligase PIAS3 colocalizes with SUMO1 in the hippocampal neurons [15,41].PIAS3 participates in the SUMOylation of various neuronal proteins to regulate neuronal function [15,18,21,22].However, it is unknown whether PIAS3 is involved in the SUMOylation of MLK3.
In the study, we identified an additional mechanism for MLK3 regulation by SUMOylation, and PIAS3 facilitated MLK3 SUMOylation after cerebral ischemia.Disruption of the MLK3-PIAS3 interaction by the PINIT domain of PIAS3 inhibited MLK3 SUMOylation and its downstream apoptotic signaling and reduced neurological deficits in neuronal and rodent ischemia models.

Animals
Sprague-Dawley rats and C57BL/6J mice were grouphoused on a 12 h light-dark cycle with free access to food and water before surgery.All experimental procedures were implemented in accordance with the guidelines described in the revised 2011 Chinese Regulations for the Administration of Affairs Concerning Experimental Animals and approved by the Institutional Animal Care and Use Committee of Xuzhou Medical University.All efforts were applied to minimize the potential discomfort and pain of animals during experiments.

Transient global ischemia model
Transient global brain ischemia was induced by the four-vessel occlusion method as described previously [37].Briefly, male rats (220-300 g) were anesthetized by isoflurane.The vertebral arteries were electrocauterized.On the following day, the carotid arteries were occluded for 15 min to induce ischemia.The sham-operated rats were subjected to the same surgical procedures except for occluding carotid arteries.Rat rectal temperature was maintained at 36.5 °C-37.5 °C during brain ischemia and 2 h of reperfusion.

Middle cerebral artery occlusion (MCAO) model
The mouse MCAO/R method was used to establish a transient focal cerebral ischemic model [29,34].Briefly, male mice (25-30 g) were anesthetized with 2,2,2-tribromoethanol (0.02 mL/g).A 7-0 nylon monofilament with a siliconeembedded front end 200-250 mm in diameter was inserted into the right internal carotid artery (ICA) to block the origin of the right middle cerebral artery (MCA).After 60 min of MCAO, the nylon monofilament was removed to restore the blood (reperfusion).The sham-operated mice underwent the same surgical procedures except for occluding carotid arteries.

Tissue preparation
Rat hippocampal CA1 or mouse cerebral hemispheres were isolated and homogenized in ice-cold homogenization buffer.The homogenates were centrifuged at 800 × g for 10 min at 4 °C, and the supernatants were collected for immunoprecipitation and immunoblot analysis.

Immunoblotting
Equal amounts of protein samples were separated by SDS-PAGE and then electrotransferred to nitrocellulose membranes (Amersham Biosciences).After the membranes were blocked with 3% bovine serum albumin, incubated with the indicated primary antibodies followed by horseradish peroxidase-conjugated secondary antibodies, and then, the membranes were developed with Immobilon® Western Chemiluminescent HRP Substrate (Millipore).The images were obtained and analyzed by the ChemiDoc-It imaging system Fluor Chem FC3 (Protein Sample).

Immunoprecipitation
Protein samples were diluted with immunoprecipitation (IP) buffer [20 mM NEM, 50 mM HEPES (pH 7.1), 10% glycerol (vol/vol), 150 mM NaCl, 1 mM ZnCl 2 , 1.5 mM MgCl 2 , 1% Triton X-100, 0.5% NP-40, and phosphatase and protease inhibitor as described above] and incubated with the indicated primary antibodies and Protein A + G magnetic beads (Beyotime) overnight at 4 °C.The beads were gathered by a magnetic stand and washed with IP buffer three times.Then, the bound proteins were eluted by boiling for 5 min in Laemmli sample buffer and used for immunoblot analysis.

Cell culture and plasmid transfection
HEK293T cells or HT22 cells were cultured in DMEM with 10% fetal bovine serum.When the cells reached approximately 90% confluence, plasmids were transiently transfected with polyethylenimine (PEI, Sigma) [21].Briefly, DNA and PEI were dissolved individually in DMEM, and then, the PEI/DMEM mix was added to the DNA/DMEM mix.After 15 min of incubation, the PEI/DNA/DMEM mixtures were added to the culture medium.A medium change was performed after 2-3 h of incubation.The cells were collected for assays 24 h post-transfection.

Purification of Tat-tagged PIAS3 (133-320) (Tat-PINIT)
Tat-tagged PIAS3(133-320) cDNAs were first subcloned into the pET-28( +) vector, and then induced to express in the Escherichia coli strain BL21.The harvested BL21 cells were resuspended in lysis buffer and then sonicated by 180 cycles of 1-s bursts at high intensity followed by a 3-s cooling period.Then, the lysate was cleared by centrifugation and loaded onto Ni 2+ -NTA resin.The bound proteins were eluted with elution buffer (50 mM NaH 2 PO 4 , 300 mM NaCl, 250 mM imidazole, pH 8.0) and then desalted and concentrated in an Amicon Ultra 10 kD centrifuge tube (Millipore) [21].

Immunofluorescence
Neurons were first fixed with 4% paraformaldehyde for 20 min at room temperature (RT) and blocked with 10% normal goat serum (NGS) and 0.3% Triton X-100 in PBS for 1 h.Next, the neurons were successively incubated with primary antibodies, Alexa Fluor 594 goat anti-rabbit and Alexa Fluor 488 goat anti-mouse secondary antibodies, and DAPI counterstain.The stained neurons were mounted with ProLong™ Diamond Antifade Mountant (Invitrogen).Confocal images were acquired by a Zeiss LSM710 laserscanning confocal microscope with 6-8 randomly chosen fields (200 ×) per well.The overall dendritic length and cell numbers were calculated by ImageJ software, and the average dendrite length of a single cell was used for statistical analysis.The data are from a single experiment (four wells) performed in triplicate.

Propidium iodide (PI) staining
Neurons were first incubated with Hoechst 33342 (0.005 mg/ ml) for 10 min and then with propidium iodide (PI) (0.001 mg/ml) for 45 min at 37 °C.Next, the neurons were rinsed with culture medium and imaged with an inverted fluorescence microscope (Olympus) with 6-8 randomly chosen fields (200 ×) per well.The data are from a single experiment (three wells) performed in triplicate.

Morris water maze
The Morris water maze was used to examine hippocampusdependent behaviors [29].In brief, the rats were trained for five consecutive days (4 trials a day).On the sixth day, the hidden platform was removed to administer a probe test for 60 s.The training and test were video recorded and analyzed by ANY-maze software.

Contextual fear conditioning test
During training, the rats were allowed to freely explore a fear conditioning training box for 2 min.Then, five 2-s foot shocks (0.7 mA; constant current) with a 58-s interval were administered.After 24 h, the rats were placed in the same box for 8 min.The stiffness was recorded and reported as a percentage of the total observation time.

TTC staining
The 2-mm mouse brain slices were stained with 1% TTC (2,3,5-triphenyltetrazolium chloride) for 5 min and then fixed with 4% paraformaldehyde.The infarct area of each section was calculated by ImageJ software.The total infarct volume is the sum of the infarct volume of each layer (infarct area × thickness of each layer).The ischemic infarct volume was reported as (volume of contralateral hemisphere−volume of normal tissue of ipsilateral hemisphere)/volume of contralateral hemisphere × 100%.

Rotarod test
The rotarod test was used to evaluate sensorimotor functions [29].Briefly, mice were trained on the three days prior to MCAO surgery with three trials per day (5 min training with 30 min internal).The program was set from 5 to 40 rpm/min with 7 rpm/min acceleration.Seven days after MCAO, mice were tested with the same program.The average falling time of three trials was reported.

Adhesive removal test
In habituation session, each mouse was allowed to explore for 15 min.The left and right paws of the mice were pasted with red circular patches (6-mm diameter) separately.The process of removing the patch was recorded for 2 min.The average time of three trials tearing off the left and right claw patches was used for statistical analysis.

Statistical analysis
All the data were statistically analyzed by GraphPad Prism 7.0 software.Immunoblot, immunostaining, and PI staining results are presented as the means ± standard deviations (SD), and data for behavioral studies, mNSS, TTC staining and Nissl staining are presented as the means ± standard errors (SE).Comparisons between two groups were performed by paired or unpaired Student's t test.Comparisons among multiple groups in escape latency (Morris water maze test) and mNSS were carried out by two-way ANOVA, while other group comparisons were statistically made using one-way ANOVA followed by Dunnett's t test.P < 0.05 was considered significant.

MLK3 is modified by SUMO1, and cerebral ischemia increases MLK3 SUMOylation
To determine the changes in SUMOylation in cerebral ischemia models, SUMOylation of MLK3 (MLK3-SUMO1 conjugation) was first detected in the normal rat hippocampal CA1 subfield (Figure S1A-S1E).We then measured the conjugation of MLK3 with SUMO1 in OGD and transient global ischemia models (Fig. 1A).In the in vitro rat primary cortical neuron model, MLK3 SUMOylation increased significantly after OGD/R treatment, as shown by coimmunoprecipitation (Fig. 1B).In the in vivo rat global ischemia model (I/R), the level of MLK3-SUMO1 conjugation increased significantly six hours post-I/R in the hippocampal CA1 subfield (Fig. 1C), one of the areas most vulnerable to global ischemia.These data suggest that MLK3 is a novel target of SUMO1 and that brain ischemia promotes MLK3 SUMOylation.

The SUMO ligase PIAS3 is involved in brain ischemia-induced MLK3 SUMOylation
PIAS3 is a SUMO ligase that participates in the SUMOylation of target proteins to regulate neurological functions [15,18,21,22].To examine the role of PIAS3 in the SUMOylation of MLK3, the interaction between MLK3 and PIAS3 was first evaluated in a rat primary neuron OGD/R model and transient global ischemia model (Fig. 2A).As shown in Fig. 2B, OGD/R treatment promoted the interaction of MLK3 with PIAS3 in primary cortical neurons, with a time course corresponding to that of MLK3 SUMOylation.Similarly, the interaction between MLK3 and PIAS3 was significantly enhanced in the rat hippocampal CA1 region following I/R (Fig. 2C).To determine whether PIAS3 is involved in the SUMOylation of MLK3, coexpression experiments were performed using HEK293T cells.SUMOylation of MLK3 dramatically increased in the presence of PIAS3 (Fig. 2D).These data suggest that PIAS3 facilitates MLK3 SUMOylation following brain ischemia.

The PINIT domain of PIAS3 directly binds MLK3
To identify the structural basis for the MLK3-PIAS3 interaction, recombinant constructs coding for Myc-tagged full-length rat PIAS3 (Myc-PIAS3 WT) and its truncated mutants representing AAs 1-500, 1-320, and 1-132 were generated individually (Fig. 2E) and then coexpressed with MLK3 in HEK293T cells.Co-IP experiments showed that interaction with MLK3 was detected in the full-length PIAS3 and its truncated 1-500 and 1-320 groups but not in the 1-132 group (Fig. 2F), suggesting that PIAS3 AAs 133-320, which correspond to the PINIT domain, interact with MLK3.The interaction between MLK3 and the PINIT domain was confirmed using both co-IP (Fig. 2G) and His pulldown assays (Fig. 2H).Moreover, overexpression of the PINIT domain of PIAS3 blocked the MLK3-PIAS3 interaction in a dose-dependent manner (Fig. 2I).These data indicate that MLK3 directly interacts with the PINIT domain of PIAS3 and that overexpression of the PINIT domain disrupts the interaction of MLK3 with PIAS3.

Disrupting MLK3 SUMOylation with the PINIT domain of PIAS3 reduces neuronal injury in the OGD/R model
Reportedly, MLK3 phosphorylation (activation) peaks at six hours post-I/R, which is consistent with elevated SUMOylation [11,12].To elucidate the effects of SUMOylation on the activation of MLK3 and its downstream apoptotic cascades, wild-type MLK3 or its K401R mutant were coexpressed with SUMO1 in HEK293T cells.As shown in Fig. S4, compared to the MLK3 single transfection group, coexpression of MLK3 with SUMO1 facilitated the activation of MLK3 (phosphorylation at T277/S281 sites), increased cleaved caspase-3 levels, increased cell apoptosis, and promoted the phosphorylation (activation) of p38 and JNKs.Moreover, the SUMOylation-deficient K401R mutant had no effect.These results indicate that MLK3 SUMOylation at K401 is vital in regulating its activation and downstream apoptotic signaling.
To further examine the protective role of the PINIT domain in OGD/R-induced injury, cortical neurons were pretreated with the penetrating peptide Tat-tagged PINIT (Tat-PINIT) or the negative control (Tat-EGFP) for three hours and then subjected to OGD/R treatment (Fig. 4A).As shown in Fig. 4B, the average dendrite length was shortened after OGD/R, and this change was rescued by preincubation with Tat-PINIT but not with Tat-EGFP.Additionally, Tat-PINIT reduced OGD/R-induced apoptosis (Fig. 4C).Moreover, lower level of OGD/R-induced dendrite injury and neuronal apoptosis were observed in the Lenti-MLK3 K401R mutant group compared with the WT group (Fig. S5).Together, these results indicated that Tat-PINIT has neuroprotective effects against OGD/R-induced neuronal damage.

Interrupting MLK3 SUMOylation with the PINIT domain of PIAS3 reduces neuronal injury and relieves learning and memory defects after I/R
Next, we evaluated the neuroprotective effect of the PINIT domain of PIAS3 against transient global ischemia-induced neuronal injury.The recombinant AAV encoding the PINIT domain of PIAS3 (AAV-PINIT) and negative control empty vector AAV (AAV-NC) were injected into the bilateral rat hippocampal CA1 region, an area vulnerable to global ischemia, with two points in each hemisphere (Fig. 5A-C).After five weeks, broad expression of AAV-PINIT was observed in the hippocampal CA1 region (Fig. 5D).The rats were subjected to 15 min of ischemia followed by six hours of reperfusion, and the hippocampal CA1 subfield was extracted to assess the MLK3-PIAS3 interaction, MLK3 SUMOylation, and downstream apoptosis signaling (Fig. 5E).As shown in Fig. 5F-H, overexpressing PINIT interrupted the interaction between MLK3 and PIAS3, inhibited MLK3 SUMOylation, reduced the phosphorylation of MLK3, p-38 and JNKs, and decreased cleaved caspase-3 levels.These data reveal that the PINIT domain interferes with the MLK3-PIAS3 interaction, blocks MLK3 SUMOylation and catalytic activity, and decreases downstream p38/JNK apoptotic cascades after I/R.
The hippocampus CA1 subfield is one of the regions most vulnerable to global ischemia, and is involved in spatial learning and memory.Therefore, we next examined the effects of PINIT overexpression on spatial learning and memory impairments post-brain ischemia.After injection of AAV-PINIT or AAV-NC for five weeks, the rats were subjected to the Morris water maze test and contextual fear conditioning 7 and 13 days post-I/R, respectively (Fig. 6A).During the five days of training in the Morris water maze, the navigation paths were recorded and analyzed (Fig. 6B).I/R rats presented a longer escape latency, which was shortened by treatment with AAV-PINIT but not with AAV-NC (Fig. 6C).On the last day of training, there was no significant difference in the mean swimming speed between the groups (Fig. 6D).Treatment with AAV-PINIT, but not AAV-NC, rescued the I/R-induced reduction in the percentage of time spent in the target quadrant and the number of platform crossovers (Fig. 6E, F).In the contextual fear conditioning test, freezing time was significantly reduced in the I/Rtreated rats.AAV-PINIT increased the I/R-induced freezing time, whereas AAV-NC had no effect (Fig. 6G).These results demonstrate that overexpressing the PINIT domain of PIAS3 rescues hippocampus-dependent spatial learning and memory defects in global ischemia.

Overexpressing the PINIT domain of PIAS3 reduces brain infarction and ameliorates sensorimotor function defects after MCAO/R
To determine whether the PINIT domain also has protective effects in focal ischemia, a mouse MCAO model was examined.Similar to the global ischemia model, MLK3-SUMO1 conjugation and MLK3-PIAS3 interaction in the ischemic hemisphere (ipsilateral or Ipsi) increased significantly after MCAO/R compared to those in the nonischemic hemisphere (contralateral or Contra) in the MCAO model (Fig. 7A-C).To determine the effects of the PINIT domain on brain infarction and neurological damage, AAV-PINIT or AAV-NC was stereotactically injected into the cortical regions susceptible to brain injury following MCAO (Fig. 7D-F).Widespread expression was observed five weeks after the injection (Fig. 7G).AAV-PINIT decreased the modified neurological severity score (mNSS) in the MCAO-treated mice after 1, 3, and 7 days of reperfusion compared to that of the AAV-NC group (Fig. 7H).The infarct volume in the ipsilateral cerebral regions was reduced by AAV-PINIT treatment after MCAO/R at 1 (Fig. 7I) and 7 days (Figure S6).Behavioral tests were performed to evaluate the effects of AAV-PINIT on sensorimotor functions in the MCAO-treated mice.In the rotarod test, PINIT overexpression increased the time spent on the rod after MCAO/R, which was not affected before MCAO (Fig. 7J).In the adhesive removal test, compared to the AAV-NC-treated group, the AAV-PINIT group showed a reduced time to remove adhesive tape from the left paw (affected side) and presented no difference in removing tape from the right paw (unaffected side) after MCAO/R (Fig. 7K).These data indicate that the overexpression of the PINIT domain of PIAS3 alleviates neuronal lesions and relieves sensorimotor function deficits in MCAO-treated mice.

Discussion
Here, the role of MLK3 SUMOylation in ischemic stroke was assessed.Our data identified MLK3 as a target of SUMO1 and provided an additional modification mechanism for regulating MLK3 enzymatic activity.The results showed that MLK3 SUMOylation plays a pivotal role in ischemic neuronal lesions.Blocking the MLK3-PIAS3 interaction inhibits MLK3 SUMOylation and stimulation, alleviates neuronal injury and cognitive impairment, and plays a neuroprotective role after cerebral ischemia.
Disrupted SUMOylation homeostasis was observed in the penumbra tissue of stroke patients, global and focal cerebral ischemic animal models, and in vitro OGD models [32][33][34][35].Some studies suggest that SUMOylation is an endogenous neuroprotective response after cerebral ischemia [38][39][40]47].However, other findings show the opposite.For instance, focal cerebral ischemia increases the expression of SENP1 (sentrin/SUMO-specific protease 1), which then decreases global SUMOylation levels, relieves neural damage, and exerts a protective effect [36].In addition, SUMOylation of the kainate receptor subunit GluK2 activates the MLK3-JNK3 apoptotic signaling pathway and participates in ischemic neuronal lesions [37].Based on the above findings, we speculate that cerebral ischemia induces the conjugation of SUMOs with different targets, in which some SUMOylated substrates exert protective effects and others exert damaging effects.Here, we found that MLK3 is a new SUMO1 target and that MLK3 SUMOylation contributes to ischemic Post-translational modification is recognized as an important way to regulate protein structure and function.Reportedly, MLK3 activity is positively regulated by both autophosphorylation and upstream kinase-mediated phosphorylation at threonine 277 and serine 281 residues within the kinase domain [4], which plays an important role in cell death, contributing to the pathogenesis of ischemic brain damage, Alzheimer's disease, and oxidative stress injury [10,37,[48][49][50].Here, we found that SUMOylation deficiency at K401 led to decreased phosphorylation of MLK3(T277/S281), revealing crosstalk between SUMOylation and phosphorylation.We deduced that SUMO1 conjugation at K401 increases MLK3(T277/ S281) phosphorylation, which in turn potentiates MLK3 catalytic activity.Moreover, we found that SUMOylation stimulates MLK3-p38/JNK apoptotic cascades and ultimately leads to cell apoptosis.Therefore, MLK3 SUMOylation not only participates in ischemic cerebral damage but may also be involved in other pathogenesis mediated by MLK3 activation, such as Alzheimer's disease and oxidative stress injury.
In SUMOylation cascades, SUMO-activating enzymes (SAE1/2) and SUMO-specific conjugating enzymes (Ubc9) are conserved and unique, whereas SUMO ligases are substrate selective.SUMO ligases include the family of protein inhibitors of activated STAT proteins (PIASs), nuclear pore proteins RanBP2 and Pc2 [23,24].The PIASs family is localized in neurons and participates in synaptic plasticity and cognitive function regulation [15,18,21,22,41,[51][52][53].Our results reveal that cerebral ischemia induces MLK3 SUMOylation in the hippocampus and cortex by promoting the interaction of the SUMO ligase PIAS3 and that AAs 133-320 in PIAS3 directly bind MLK3.AAs 133-320 correspond to the PINIT domain of PIAS3, which has 75% homology with PIAS1, 68% homology with PIAS2, and 50% homology with PIAS4.Therefore, whether PIAS1/2/4 plays a role in MLK3 SUMOylation still needs to be elucidated.Moreover, overexpressing the PINIT domain of PIAS3 does not completely block the MLK3-PIAS3 interaction in vivo and in vitro.This finding suggests that other binding regions in PIAS3 cannot be ruled out.
Here, we show that MLK3 SUMOylation leads to MLK3-p38/JNK apoptotic cascade stimulation, neuronal lesions, and cognitive impairment.Overexpression of PIAS3 (133-320) by lentivirus or AAV recombinants interrupted the MLK3-PIAS3 interaction in vivo and in vitro, inhibited MLK3 and downstream apoptotic cascade activation, effectively rescued neuronal lesions, and ameliorated cognitive defects.The PINIT domain (AAs 133-320) of PIAS3 is highly conserved in rats, mice, and humans.Therefore, MLK3-PIAS3 is a potential interruption target for ischemic stroke, and the PINIT peptide is a promising therapeutic biopharmaceutical.Moreover, Tat-PINIT relieves OGD/Rinduced dendrite injury and cell apoptosis and presents lower cytotoxicity than Lenti-PINIT.This finding reveals that purified protein may be more suitable for disease treatment.The PINIT domain of PIAS3 contains 188 amino acids, which is a relatively long fragment.Shorter peptides and small molecular compounds need to be identified to be more applicable neuroprotective drugs for ischemic stroke therapy.
In conclusion, our data provide the first evidence that reversible MLK3 SUMOylation is involved in neuronal lesions and cognitive impairment after cerebral ischemia.MLK3-PIAS3 is a potential intervention target for ischemic stroke therapy, and PINIT intervention is a promising neuroprotective strategy.

Fig. 1
Fig. 1 Cerebral ischemia induces MLK3 SUMOylation, and K401 is the major SUMOylation site.A Schematic diagram of evaluating MLK3 SUMOylation in OGD and transient global ischemia models.B, C Time-dependent changes in MLK3 SUMOylation in the primary neuron OGD/R model (B) and in the CA1 region of the rat global I/R model (C) by co-IP and immunoblotting.Relative levels were normalized to the normoxia (B) or sham (C) group.Data are presented

Fig. 2
Fig. 2 Cerebral ischemia increases the interaction of MLK3 with the SUMO ligase PIAS3, and the PINIT domain of PIAS3 directly binds MLK3.A Schematic diagram of assessing the MLK3-PIAS3 interaction in OGD and transient global ischemia models.B, C Timedependent changes in the MLK3-PIAS3 interaction in the primary neuron OGD/R model (B) and in the CA1 region of the rat global I/R model (C) by co-IP and immunoblot analysis.Relative levels were normalized to the normoxia (B) or sham (C) group.Data are presented as the mean ± SD (n = 3).*P < 0.05, compared with the normoxia (B) or sham (C) group; one-way ANOVA with Dunnett's t test.D The role of PIAS3 in MLK3 SUMOylation in HEK293T cells.E The structural pattern of Myc-tagged full-length rat PIAS3 (Myc-PIAS3 WT) and its domain-deleted mutants.F, G The interaction of MLK3 with Myc-PIAS3 WT or its domain-deleted mutants in HEK293T cells.H His pulldown assay for the interaction of MLK3 with His-PIAS3 WT or 133-320-Myc-His.I Disruption of the MLK3-PIAS3 interaction by 133-320 in HEK293T cells ◂

Fig. 4
Fig. 4 Overexpressing the PINIT domain of PIAS3 alleviates neuronal injury after OGD/R.A Schematic diagram of the effect of the penetrating peptide Tat-tagged PINIT (Tat-PINIT) or Tat-EGFP (negative control) on neuronal injury in the primary neuron OGD model.B, C The effects of overexpressing the PINIT domain (5 μmol/L) on OGD/R-induced neuronal dendrite injury (B) and cell apopto-

Fig. 5 Fig. 6
Fig. 5 Overexpressing the PINIT domain of PIAS3 inhibits global cerebral ischemia-induced MLK3 SUMOylation and downstream apoptotic cascade stimulation in the hippocampal CA1 subfield.A Schematic diagram of the PINIT domain blocking PIAS3-mediated MLK3 SUMOylation in a rat global ischemia model.B Diagram of AAVs expressing the PINIT domain and negative control.C Schematic representation of AAV injection into the rat bilateral hippocampal CA1 subfield.D AAV infection (green) in the hippocampal CA1 region.Bar = 50 μm.E Schematic diagram of AAV recombinant overexpression in a rat global ischemia model.F-H The effects of PINIT overexpression on the MLK3-PIAS3 interaction, MLK3 SUMOylation (F), MLK3 activation/phosphorylation (G) and downstream apoptotic cascade activation (H) after I/R.− , without AAV injection.Relative levels were normalized to those of the sham group.Data are presented as the mean ± SD (n = 3-4).*P < 0.05; **P < 0.01; ****P < 0.0001; one-way ANOVA with Dunnett's t test ◂

Fig. 7
Fig. 7 Overexpressing the PINIT domain of PIAS3 reduces brain infarction and rescues motion function defects in mice after focal ischemia.A Schematic diagram of the mouse MCAO focal ischemia model.B, C Changes in MLK3 SUMOylation (B) and MLK3-PIAS3 interaction (C) in ipsilateral ischemic tissue (Ipsi) and contralateral normal tissue (Contra) in the focal ischemia model.Relative levels were normalized to those of the Contra groups.Data are presented as the mean ± SD (n = 3).*P < 0.05; **P < 0.01; paired t test.D-E Schematic diagram of the effect of overexpressing the PINIT domain on PIAS3-mediated MLK3 SUMOylation and reducing neurological defects in a mouse MCAO model.F Schematic representation of AAV injection into the mouse right cortex.G AAV expression (green) in the mouse cortex five weeks after injection.Bar = 500 μm.H-K Effects of overexpressing the PINIT domain on mNSS (H), brain infarction (I), and sensorimotor behaviors assessed by the rotarod test (J) and adhesive removal test (K).Data are presented as the mean ± SEM (n = 10).*P < 0.05; ***P < 0.001; ****P < 0.0001; ns nonsignificant.Two-way ANOVA with the Sidak method (H) and unpaired t test (I-K) ◂